<html>
<head>
<title eid="title">page title</title>
</head>
<body>
	<h1 eid="title">page title</h1>

	<div eid="menu">
		
	</div>

	<form method="post">
		<table>
			<tr>
				<th>Name:</th>
				<td><input type="text" name="orgUnitName" aid="orgUnitName" value="" /></td>
			</tr>
			<tr>
				<th>Org Unit Id:</th>
				<td><input type="text" name="orgUnitId" aid="orgUnitId" value="" /></td>
			</tr>
		</table>

		<table>
			<tr>
				<th>Address Line 1</th>
				<td><input type="text" name="addr1" aid="addr1" value="" /></td>
			</tr>
			<tr>
				<th>Address Line 2</th>
				<td><input type="text" name="addr2" aid="addr2" value="" /></td>
			</tr>
			<tr>
				<th>City</th>
				<td><input type="text" name="city"  aid="city" value="" /></td>
			</tr>
			<tr>
				<th>Country</th>
				<td><select name="country">
						<option rid="countries" eid="country" aid="country" value="" selected=""></option>
					</select>
				</td>
			</tr>
			<tr>
				<th>Postcode</th>
				<td><input type="text" name="postcode" aid="postcode" value="" /></td>
			</tr>
		</table>

		<input type="submit" value="Submit" />
	</form>
</body>
</html>